Richard Michael Landaverde, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ATP-001129 Issued in AR

Practice address

415 Hospital Dr
Camden, AR 71701-4615

Phone

(870) 836-5013

Fax

(870) 836-7961

NPI assigned

Jun 5, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, LA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Urgent Care, LLCGroup PAC ID 8729138896, 50 clinicians

Hulin Urgent Care Services LLCGroup PAC ID 6800051285, 135 clinicians

Access Medical Clinic Arkansas LLCGroup PAC ID 5890077093, shared by 29 NPIs, 143 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ouachita County Medical Center Hospital, Camden, AR, CCN 040050

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: richard.landaverde.1@15024.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Gonzales, LA
  • NPI 1568601425
  Medicare reassignment Care Compare group NPD
• Hulin Urgent Care Services LLC

  dba SouthStar Urgent Care

  • Urgent Care Clinic/Center
  • New Iberia, LA
  • NPI 1699049262
  Medicare reassignment Care Compare group NPD
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Salem, AR
  • NPI 1578007647
  Medicare reassignment NPD
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Ash Flat, AR
  • NPI 1699097436
  Medicare reassignment NPD
• Ouachita County Medical Center

  • Emergency Care Clinic/Center
  • Camden, AR
  • NPI 1346354826
  Medicare reassignment NPD
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Camden, AR
  • NPI 1508563362
  NPD
• Ouachita County Medical Center

  • Rural Acute Care Hospital
  • Camden, AR
  • NPI 1245284769
  NPD
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Chickasha, OK
  • NPI 1013724764
  NPD
• Hulin Urgent Care Services LLC

  dba Southstar Urgent Care

  • Urgent Care Clinic/Center
  • Rayne, LA
  • NPI 1750055141
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1518496538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 CALIFORNIA AVE SW",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014604",
            "telephone_number": "870-836-1200",
            "fax_number": "870-836-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HOSPITAL DR",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014615",
            "telephone_number": "870-836-5013",
            "fax_number": "870-836-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDAVERDE",
        "first_name": "RICHARD",
        "middle_name": "MICHAEL",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "ATP-001129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lab One LLC
• Melinda Labella, BA SLP-A
• Ladd Dental, PA
• William Allyn Ladd, DDS
• Tori Lynn Laduke, APRN
• Pamela S Launius
• Kristin Margaret Legge, MHPP
• Mimo Rose Lemdja, M.D.
• Laurel Leveritt, COTA/L
• Brittney Lewis, APRN, FNP-C

• Family Nurse Practitioner in Camden, AR
• Providers in Camden, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.